Active NPI
Heather Anne Fox, OTR/L
- Occupational Therapist
- Grand Rapids, MI
National Provider Identifier
1790340719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201010514
- Practice address
- Marywood
111 Lakeside Dr NE
Grand Rapids, MI 49503 - Phone
- (616) 588-1645
- NPI assigned
- May 6, 2019
- Last updated
- Oct 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010514 | MI | Primary |
Addresses
Primary practice location
Marywood
111 Lakeside Dr NE
Grand Rapids, MI 49503
Mailing address
1013 Oaklawn St NE
Grand Rapids, MI 49505-3751
Phone (269) 567-8423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1790340719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 OAKLAWN ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053751",
"telephone_number": "269-567-8423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARYWOOD",
"address_2": "111 LAKESIDE DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503",
"telephone_number": "616-588-1645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "HEATHER",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-06",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.